Bagwell, Michael Brent

Bagwell, Michael Brent is an individual health care provider with primary practice located at 351 Sw 9Th St , Ontario OR 97914-2639. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bagwell, Michael Brent can be contacted via phone (541) 881-7000.

Contact Information

Primary practice address
351 Sw 9Th St Ontario OR 97914-2639
Phone: (541) 881-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 64152 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-7198 Idaho

Profile Details

NPI number 1891363677
LBN Legal business name Bagwell, Michael Brent
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2021
Last updated Jun 16th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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